Clinical outcomes of intramedullary femoral nailing system to treat femoral fracture
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20201031Keywords:
Femoral fracture, Intramedullary nailing system, Clinical unionAbstract
Background: Femoral fractures are bone fracture involve femur, common injuries in adults. Intramedullary femoral nailing system is the recommended solution or treatment for fractures due to its high union rates.
Methods: In this clinical inspection 30 patients were selected with bone fracture of femur, and treated by using intramedullary femoral nailing system (universal intramedullary cannulated femoral nail, expert femoral nail, gamma nail and retrograde femoral nail) manufactured by Auxein Medical Private Limited, Sonepat, Haryana, India. There are two types of patients used in this study, one is male (n=18) and another female (n=12). Patients physical fitness was also observed through American Society of Anesthesiologist.
Results: Outcomes record from the patients using visual analog scale. Follow up of the patients were taken on 1st month, 6th month, and 12 months. Post-operative outcomes were good with none of the patients showing non-union of fracture site. There were no complications noticed related to intramedullary femoral nailing system in this study and hardware related complications were not encountered in this study also.
Conclusions: Intramedullary nailing system provide excellent outcomes with high union and low complication rates in the management of bone fracture involve femoral in patients.
References
Agaja SB, Ehalaiye BF. Patterns of fracture and dislocation injuries at ECWA hospital, Egbe. Kogi State, Nigeria. Niger J Orthop Trauma. 2005;4:46-54.
Enweluzo GO, Giwa SO, Obalum DC. Pattern of extremity injuries in polytrauma in Lagos, Nigeria. Niger Postgrad Med J. 2008;15:6-9.
Owoola AM, Thanni LO. Epidemiology and outcome of limb fractures in Nigeria: A Hospital based study. Niger J Orthop Trauma. 2012;11:97-101.
Akinyoola L, Orekha O, Odunsi A. Open intramedullary nailing of neglected femoral shaft fractures: Indications and outcome. Acta Orthop Belg. 2011;77:73-7.
Khani KGM, Humail M, Anjum P, Solangi P, Afridi HD. Is open diaphyseal femur fracture managed by delayed interlocking intramedullary nail a prudent choice. Pak J Med Sci. 2011;27:541-4.
Turner CH, Ann NY. Bone strength: Current concepts. Acad Sci. 2006;1068:429-46.
Bezabeh B, Wamisho BL, Coles MJ. Treatment of adult femoral shaft fractures using the Perkins traction at addis Ababa Tikur Anbessa University Hospital: The Ethiopian experience. Int Surg. 2012;97:78-85.
Doorgakant A, Mkandawire NC. The management of isolated closed femoral shaft fractures in a district hospital in Malawi. Trop Doct. 2012;42:8-12.
Akinyoola L, Orekha O, Odunsi A. Open intramedullary nailing of neglected femoral shaft fractures: Indications and outcome. Acta Orthop Belg. 2011;77:73-7.
Sekimpi P, Okike K, Zirkle L, Jawa A. Femoral fracture fixation in developing countries: An evaluation of the Surgical Implant Generation Network (SIGN) intramedullary nail. J Bone Joint Surg Am. 2011;93:1811-8.
Deepak MK, Jain K, Rajamanya KA, Gandhi PR, Rupakumar CS, Ravishankar R. Functional outcome of diaphyseal fractures of femur managed by closed intramedullary interlocking nailing in adults. Ann Afr Med. 2012;11:52-7.
Zarezadeh A, Mamelson K, Thomas WC, Schoch BS, Wright TW, King JJ. Outcomes of distal humerus fractures. Orthopaedics Traumatol Surg Res. 2018;104(8):1253-8.
Jawa A, McCarty P, Doornberg J, Harris M, Ring D. Extra-articular distal-third diaphyseal fractures of the humerus: a comparison of functional bracing and plate fixation. JBJS. 2006:88(11):2343-7.
Koch PP, Gross DF, Gerber C. The results of functional (Sarmiento) bracing of humeral shaft fractures. J Shoulder Elbow Surg. 2002:11(2):143-50.
Woon CYL. Cutaneous complications of functional bracing of the humerus: a case report and literature review. JBJS. 2010:92(8):1786-9.